Provider Demographics
NPI:1891527503
Name:EUGELLES HEALTH SERVICES LLC
Entity type:Organization
Organization Name:EUGELLES HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMARILYS
Authorized Official - Middle Name:
Authorized Official - Last Name:EUGELLES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:908-347-1476
Mailing Address - Street 1:13671 SW 157TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1848
Mailing Address - Country:US
Mailing Address - Phone:908-347-1476
Mailing Address - Fax:
Practice Address - Street 1:13671 SW 157TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1848
Practice Address - Country:US
Practice Address - Phone:908-347-1476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty